NPI | 1295355022 |
---|---|
Former Name | ELIZABETH MARIE RUMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 4164) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2021-07-16 |